- See:
Open Frx:
- Discussion:
- traumatic wound is nearly always anterior in location, and may have a
variable degree of damage to the extensor mechanism;
- in pts w/ grades I, II, or IIIa open supracondylar frx consider ORIF
- for IIIb and IIIc fractures consider External fixation across knee;
- vascular injuries:
-
popliteal artery is tethered proximally at hiatus & distally by of soleus;
- w/ a possible vascular injury;
- must antatomically reduce frx prior to arterial repair, since
overriding or shortening can disrupt anastomosis w/
subsequent manipulation;
- consider use of a temporary external fixator;
-
fasciotomy of leg - after 6-8 hrs of Ischemia:
- amputation w/ disruption of
sciatic or
posterior tibia nerves;
